Boheme, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

BOHEME, LLC

Practice address

1100 Caughlin Xing
Reno, NV 89519-0613

Phone

(775) 800-1724

Fax

(775) 800-1725

NPI assigned

Jul 8, 2015

Last updated

Jul 8, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Tanya Phares, D.O.

Title

Medical Director

Phone

(775) 800-1724

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1436313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436313600000",
    "number": "1689057655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 CAUGHLIN XING",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895190613",
            "telephone_number": "775-800-1724",
            "fax_number": "775-800-1725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 CAUGHLIN XING",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895190613",
            "telephone_number": "775-800-1724",
            "fax_number": "775-800-1725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOHEME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-08",
        "last_updated": "2015-07-08",
        "status": "A",
        "authorized_official_last_name": "PHARES",
        "authorized_official_first_name": "TANYA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "775-800-1724",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evelyn Bogarin Hurtado
• Robert W Bogart, DO
• Annelise Boge, OTR/L
• Ashley Boharsik
• Kimberly Esther Boharsik
• Sandra Bohie-Kempner
• Matthew Boland, PH.D.
• Julia A Bolduc, OTR/L
• Jason Allan Bolenbaker, O.D.
• Laura Faith Bolenbaker, O.D.

• General Practice Physician in Reno, NV
• Providers in Reno, NV by specialty
• General Practice Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.